NPI: 1417917584 · FRASER, MI 48026 · General Practice Dentistry · NPI assigned 03/24/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 213 | $7K |
| 2019 | 256 | $9K |
| 2020 | 337 | $10K |
| 2021 | 246 | $8K |
| 2022 | 75 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 512 | 503 | $22K |
| D0120 | Periodic oral evaluation - established patient | 300 | 298 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 123 | 120 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 109 | 107 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 15 | 15 | $725.60 |
| D0230 | Intraoral - periapical each additional radiographic image | 68 | 66 | $512.24 |